Individual provider Active NPI

Noha Khalafawi

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1801300397
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801101192 Issued in MI
Practice address
62 W 7 Mile Rd
Detroit, MI 48203-1967
Phone
(313) 893-6172
Fax
(313) 893-0064
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801101192 MI Primary

Addresses

Primary practice location

62 W 7 Mile Rd
Detroit, MI 48203-1967

Mailing address

8048 Riverdale St
Dearborn Heights, MI 48127-1500
Phone (313) 585-2414

Other practice location 1

32231 Schoolcraft Rd
Livonia, MI 48150-4312
Phone (734) 266-6800

Other identifiers 1

IdentifierTypeStateIssuer
3434247MedicaidMI

Other names 1

  • Nohawand Khalaf Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801101192MIMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1801300397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8048 RIVERDALE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271500",
            "telephone_number": "313-585-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031967",
            "telephone_number": "313-893-6172",
            "fax_number": "313-893-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32231 Schoolcraft Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481504312",
            "country_code": "US",
            "telephone_number": "734-266-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALAFAWI",
        "first_name": "NOHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOHAWAND",
            "last_name": "KHALAF",
            "credential": "MA, MSW, LLMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.